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LAND USE a) Initial Application Date: i -- 2 7 // _ /o 5 V9 2 4 7g4 CUs COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E. Front Street, Mouton, NC 27548 Phone: (910) 893-752255 Fax: (910) 89&279 www•hamelt.orp/permi s Q . LANDOWNER: !T ru'i l 2. 14n u) it ; v` / 5 � Malang Address: '5 5 - rth't L .ores .. ay: �Kn n i 0 It L stater ✓ e 4 : 1,82.3.4.1 Home t,, 9 /D -g'9 -9 ,' ?comsat APPLICANT': Fred -e. skr`2. Mating Address: V // 17k it s IDh O rs fie *Omni 1 t -zip: // Hame t:9t_ / 4w35cortact / /0 -gso -3 b ?l CONTACT NAME APPLYING IN OFFICE: S-en, R. a n `e—_. J 1 Phone Pks s: ! 0 ` w s i -go !(O . PROPERTY LOCATI / ON:_ Subdivision a/phase or section: .P- - 1r" " - aw- 1 JZ_ - Lot 9: /"/ Lot Acreage: � 2, �� State Road iii 2 "7 State i 5 e Road Name: _ " , : It d .:. L __ / Map Book&Page: /r�F[�/ / /o�� -/- Parcel: 91 9 - -- C-- 0 0 9,49 / r PIN: !/ 7 //N , / / — 0'�r 2 O4 -- r Zoning: itt G c Flood Zone 4 Watanabe* , X Deed BookMPege: 7 / 1 7 / /gyp) Paver co 'New homes with Progress Energy as sine provider need to supply premise number from Prapas Energy. n SPECIFIC DIRE TONr TO THE PROPERTY FROM mute / IO Elder Sc (! free. 5c knn), it'd . 5I; P'i�tli n„ L -em uds) V'ack R ) L ect /r . sn t ltr ha PROPOSED USE: ChM: O SFD (Size _ x ) 9 Bedroom_ 9 Bags_ Basement On bath) _ Garage Decd Crawl Space / Slab (Is the bonus doom fiddled? W a closet If so add In wl0I s bedrooms) O Mod (Size s ) e Bedrooms a Bags_ Basement (w/wo bath)._ Garage She Bulk Deck ON Frame/ OFF (Is the second door Misted? My other alts bull additions? ) O Manufactured Hare: _SW _OW _TW (SW x ) 9 Bedroom _ Damps (ads built? 1 Decl__(aks bulk!_) O Duplex (Size x ) Nt No. Bedkoanstk* O Horne Occupation s Roam Use Flom oi Opwalio X AdatloWAccneory /Other(81zC) 9 x L I �IJ ,-U r '-e C . bssH In addkoni_Jyea (!u Was Supply: ( Comay Li Well ( Ne !!! / /''''''��y''''''O°° as�����P�w /// � f8 �wnb. wets before and Sewage Supply: D New Septa Tank (CanN•ta. Meats4 ( Edseng Sepia Talk (Q ii , QAe.res) (_ICam 8 / e,wr Properly an al this tract d a kind M codeine a maedacued hams grin law hundred feel (BO=A) deed bead above? DYES uiS Sines kwistkmg 8 proposed): r ._.)/ i lAnda trxed Homes Other (specify) I 0 DS t; 6 IV_ Required Redden= Properly Line Sslbeeakm Commoner MIIRMU l 35 Aral 5 , Res 25" /00 )- Closest sae .= 2.7 sldestrsetcaner lot 20 QQ Nearest Balking 1 n D on earns lot II permits are granted I agree Is conform lo d ordinances and laws c the Slats of North Canine repulsing such wort and the specifications of pyres submits?. I hereby etas that foregoing statements are ,came and correct to the best at my knowledge. Perm. stabled lo revocation 11 rays inlomnallan I. pmvlded. e:? L - -2. V Signature of Owns or Owners Agent Mee "TNa application expires • months from the TIM I dab E no permits have been Inue A RECORDED SURVEY MAP, RECORDED DEED (00 OYPW1 TO PURCNA9.) AND PLAT ARE ROSARIO WEN N APPLYING POO LAND USE APPUCATIOM Please use Blue or Black Ink ONLY LAND USE 508 e f1" 9 rv�.•.. I J 1 4 , i ' , r 3 ' 1 C a n a l Industries ! :'Air 1 10' (1 lo' �-lo' arF � ,-#�� - I Incorporated i I � 101 4( I p. C. B, Slide 190 1' frer a _ _ _ i ^ � 2D _ _ ___ !SiIks. MI '', Zic e h x µ ,� z, TYPICAL UTILITY EASEMENT " 4' i r � d+u{� N o !e 1 C ota ahaH Awe o /O UhOddly eosemenl along C r I fs V4.4. lot side d rear lot lines and 20' along front B • \ P 1/ kfciT lot lines. _, CP S 12 \ k 4 + 13 •Q e. iIre 4' 14 �'� 'O�� o a �' :µ; cie b " ' ` rn • a r 1t,+, h . o - ,t pit et x� - i . \2 y + ° ° a 17 .% c ° n fr . o• • ,e p V':‘,%., a 33 p. \ °� 9S�t o s ' ' o A �a f 2 2 {` i yt z + 'Pr m I 0 m r p w W c p ° Y ° a � fte ! O a cG ^� 6 " + 1tt c v O D f Etta ° t it 20 1. p ' le a, ap ° • J '4 F ■ • %,. N � it ° 3 u y , 4 , d p N w G \ t� . N 1r # a. . 4 t T - '4... %/s t U a � , n + • � m ^ Z• . P. 0' • t ' K - Q �p 3M iP • y 9 mA � '. , b �A j -tP �e -- R4 o lr N,? B FNH_ %Y HARM] I r hk W. , �� EIP AND SIi I! l t) n : 0 � & :- � DIME- 1F_ y in o gPf HCryr yr , ,4 " LE I ND �'1l �tI•o DI ",),j . l: i it Lines Surveyed r' _ — Lines Not Surveyed "' ' C EIP Existing Iron Pipe tooted Corner) tut ' Me Ai n ., $ ECM - Existing Concrete Monument trr + NIP -- NovrIron Pips ' ' __ P K Abi( refs t I Isr S " NTE "F , 4ELS 'Existing tightwad Stake .1 : , I a t x %F --- Nor or Formerry � osa " =s. ' Rlpll z 01- . Wey ti \ I cAi/u kAt s .a Gki o2i1.0// a 2 - 13c- y g' � , 57 n�9 � u� e , — � -F G���e -�a 1 it+e NAME: _ APPLICATION #: / cle 2 4 7o4 • *This application to be MIS out when applying for a septic system inspection.* County Health Department Application for improvement Permit and/or Authorization to Construct IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED, CHANGED, OR THE SITE IS ALTERED, THEN THE IMPROVEMENT PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration depending upon documentation submitted. (Complete site plan = 60 months; Complete plat = without expiation) / � ,9 ^7 9I 0 - 893 - 7525 option I CONFIRMATION # v / ❑ Environmental Health New Septic Svsterr(Code 800 • All property Irons must be made visible. Place "pink property flags" on each corner iron of lot. All property lines must be clearly flagged approximately every 50 feet between corners. • Place "orange house corner flags" at each corner of the proposed structure. Also flag driveways, garages, decks, out buildings, swimming pools, etc. Place flags per site plan developed at/for Central Permitting. • Place orange Environmental Health card in location that is easily viewed from road to assist in locating property. • if property is thickly wooded, Environmental Health requires that you clean out the undergrowth to allow the soil evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade properly. • All lots to be addressed within 10 business dews after confirmation. 525.00 return Erin fee may be incurred for failure to uncover outlet lid. mark house comers and proper& lines. eta once lot confirmed ready. • After preparing proposed site call the voice permitting system at 910 893 - 7525 option 1 to schedule and use code 800 (after selecting notification permit If multiple permits exist) for Environmental Health inspection. Pie: se note confirmation number elven at end of recording for proof of reaues(, • Use.ClIck2Gov or IVR to verily results. Once approved, proceed to Central Permitting for permits. lk Environmental Health echidna Tank inspections Code 800 • Follow above instructions for placing flags and card on property. • Prepare for inspection by removing soil over outlet end of tank as diagram Indicates, and lift Ild straight up (if possible) and then close back down.(Unless Inspection is for a septic tank in a mobile home park) • After uncovering outlet end call the voice permitting system at 910 - 893 -7525 option 1 8 select notification permit if multiple permits, then use code 800 for Environmental Health Inspection. Please note confirmation number aiveq at end of recording for proof of request. • Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits. pplying for authorization to construct please indicate desired system type(s): can be ranked in or. f preference, must choose one. {_1 a ccepted () Innovative (_) Conventional ( • {_} Alt - : tive ( Other The applicant s : 1 notify the local health deparhnant upon submittal of :: application if any of the following apply to the property in question. If the , is "yes ", applicant MUST ATTACH SUPP • ' TING DOCUMENTATION: (_}YES {_} NO :, the site contain any Jurist!' • onal Wetlands? (_}YES {_( NO Do .. elan to have an : :,,i now or in the fn re? I_ I YES 1_, NO Does or wt he ing contain any tau? Please explain. YES { NO Are there , . • ex : ; wells, springs, waterlines or Wastewater Systems on this property? (_} NO Is : wastewater go' to be generated on the site other than domestic sewage? (_I YES ( NO s the site subject to approva • any otter Public Agency? {_l YES '0 Are there any easements or Right o • ays on this property? { _ ( NO Does the site contain any existing water, ca • . hone or underground electric lines? If yes please call No Cuts at 800- 632.4949 to Iota lines. This is a free service. I Have Reed Thls Application And Certify That The Information Provided Herein Is True, Complete And Correct. Authorized County And State Omclals Are Granted Right Of Entry To Conduct Necenary Inspections To Determine Compliance With Applicable Laws And Rules. 1 Undentand That 1 Am Solely Responsible For The Proper Identlficadoo And Labeling Of All Property Lines And Corners And Making The He Accessible So That A Complete Site E aluation Can Be Performed. • Ilk �C !_ a7 —r19 PROPERTY OWNERS ? ' LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE 5/08 9 DIAGRAM • F A TtAltAL EPTIC T• K At CL1D POSSIBLE POSSIBLE HOUSE HOUSE CONNECTION CONNECTION POSSIBLE HOUSE CONNECTION POSSIBLE LID SHAPES - SQUARE (SHOWN ON DIAGRAM) RECTANGLE (OLDER TANKS) ROUND • How to Properly Mark Property for Soil Evaluation (MUST MATCH SITE PLAN) •ink flag i '. p p iron pink flag —► . orange flag ink flag Legend House iron fl u► range flag pink flag iron 0 p iron 011► ROAD 108 E Front St, Lillington, NC 27546 to 451 Senter Ln, Bunnlevel, NC 28323 - Google M... Page 1 of 1 Google maps Directions to 451 Senter Ln, Bunnlevel, NC 13.3 mi — about 22 mins Save trees. Go green!'{ Download Google Maps on your O ,M,. phone at googlecom /gmm sr' ; �q. Y n 108 E Front St, Lillington, NC 27546 1. Head west on E Front St toward S 1st St go 449 ft total 449 ft rill' Itli s :aii t1'n h !rcr rul l il l r l I l I 1 , 1 nllipi gll,il 11 11" r lt l j � . ul l4. "I'1 o 0 1 6)m1 2 Take the2nd Ieft S Ital S t ltl € I I IIl l Ilyl { I �I I 1I I I � I , I I , � G� ' ,i €h IIit ijp l !Ji l l ,l I , f, I " peas. . 1 1 1 11. Ab0Ul x2 itii tl m =11!11 I li l i il iili ll ' _,iifl . I € �Il €hvl „� ` ; I n o;: I � ! , 1 1181 ll lto Ilhlili ll Sell lilulleatako.e,, 1 total 1 9 6 m1' I��It l II I - ! 'Q 3. Turn right at N Carolina 210 S go 8.7 mi About 10 mins total 9.3 mi S1 llll , Tllm i l l rl l lltlll l l4fld l Bf8011i CireB1C''!So1i001Rd Il 1 l llll l ll l l!i llll li lll l P E l l�� l 'i 'l"l l�llilil3 iliF;:i10i 0 ml ' . I A llill€ m I 1 :,r i .. ' i t p i i i i i t ; ' i tiff ll it ;, /lib II II €Iiia1 �� I ! k il l f 5�ii 31 1 1 311, 1 11 1 1 �E II L IG g , l .. � 7rflI l AbOI tllir E IS, I 1 p i Ili l It jj l;i of t ota l ... mll .' ,xn ,1,..r-lm l !> �ibilli lilll'1i11i�11fildi l i l i l i� l liail:Lililu.. i �.1:.,e nl}tIli'lIi�6L� €iltl�!'(11�1 1 € '�t il1lilliii :,il tliimi ,. E, „1,_2,1: 5. Slight right at Lemuel Black Rd go 3.2 mi About 8 mins total 12.8 mi li Er i9Yr lilt s ? ?,i 191 " -; 111 '' k '111 ( " 1 1 11 1111Ii llip (ll ' 1 (1111 1 ' 1 €Illlilniiil 3111E 1011 �l € 1 !1111 1 1 1 1 1 i.i1 l ill 9'' T urnlleft at Senter Ln4111lid;1111 1 I ,,,11I�IIih 31 1 €1 , 1 11 1 6 1 1 Ei €'; t 1 11 EI lli i l l . 9N6i 161 2El i si l' 1 11 � 11i, €1111iq, i ' ilr i l l . ti r Destln !the i +I 11 a.� I ll l lli'll, l l ,I l,i�il 1 1 1 a , €u I llll i.Ilt11 li l' 1IE €„ €Ili II 90 3 4� 1 m1 III. � (��(� ,111 I ���1( - tot91 13 31in1 11,.3 il ii About 1 1rnm€lllii,l,mi..a s 1 i.iitzi ! iIli„n - I �ljl l� l ii l iiii i €ill l�l ��� ai i, 5 l ' ,�,z.�� „liilim �.ul11l,fsu iilllwi ieil1..1.4 i; �i i l� l�li E 11 € ii 14 4 ii It li „1 It 1' l B 451 Senter Ln, Bunnlevel, NC 28323 These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route. Map data ©2010 Google Directions weren't right? Please find your route on maps.qooqle.com and click "Report a problem” at the bottom left. 1 http: / /maps.google.com/ maps ?mod& source= s_d &saddr=108 +e +front +street +Ii Ilington, +nc... 6/28/2010